Evidence map›Paper›PMID 40867341›Full record

ArticleCancers2025

Baseline Hemostatic Biomarker Assessment Identifies Breast Cancer Patients at High Risk for Venous Thromboembolism During Chemotherapy.

Marina Marchetti, Patricia Gomez-Rosas, Laura Russo, Carmen Julia Tartari, Silvia Bolognini, Chiara Ticozzi, Debora Romeo, Francesca Schieppati, Luca Barcella, Roberta Sarmiento and 11 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Marina MarchettiDepartment of Immunohematology and Transfusion Medicine, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0001-9036-960X
Patricia Gomez-RosasDepartment of Immunohematology and Transfusion Medicine, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0003-2691-2844
Laura RussoDepartment of Immunohematology and Transfusion Medicine, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0003-0018-7090
Carmen Julia TartariDepartment of Immunohematology and Transfusion Medicine, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0002-4576-2928
Silvia BologniniDepartment of Immunohematology and Transfusion Medicine, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0001-6358-4304
Chiara TicozziDepartment of Immunohematology and Transfusion Medicine, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.
Debora RomeoDepartment of Immunohematology and Transfusion Medicine, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.
Francesca SchieppatiDepartment of Immunohematology and Transfusion Medicine, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.
Luca BarcellaDepartment of Immunohematology and Transfusion Medicine, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0002-4576-0914
Roberta SarmientoOncology Unit, Hospital San Filippo Neri, 00135 Rome, Italy.
Giovanna MasciOncology Unit, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, Italy.
Giampietro GaspariniOncology Unit, Hospital San Filippo Neri, 00135 Rome, Italy.
Filippo De BraudOncology Unit, IRCCS National Cancer Institute, 20133 Milan, Italy.
Carlo TondiniOncology Unit, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.
Armando SantoroOncology Unit, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, Italy.ORCID 0000-0003-1709-9492
Fausto PetrelliOncology Unit, Hospital Treviglio-Caravaggio, 24047 Treviglio, Italy.
Francesco GiulianiOncology Unit, IRCCS Cancer Institute Giovanni Paolo II, 70124 Bari, Italy.
Andrea D'AlessioMedical Oncology and Internal Medicine, University Vita-Salute San Raffaele, 20132 Milan, Italy.
Roberto LabiancaFondazione ARTET Onlus, 24121 Bergamo, Italy.
Anna FalangaDepartment of Immunohematology and Transfusion Medicine, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0002-5007-3457
HYPERCAN Investigators

Funding

Associazione Italiana Ricerca sul Cancro 12237Fondazione ARTET Onlus ARTET001Fondazione Banca Popolare di Bergamo N.A.
6 · The paper itself

Abstract

(1) Background: The presence of metastatic disease significantly increases the risk of venous thromboembolism (VTE) in breast cancer, particularly during chemotherapy. Although not categorized as a highly thrombogenic malignancy, the elevated global prevalence of this cancer places a substantial number of patients at risk of thrombosis, which cannot yet be accurately predicted by validated risk assessment models (RAMs), highlighting the need for a dedicated model. (2) Aim: This study aims to develop a RAM for VTE in newly diagnosed metastatic breast cancer patients enrolled in a prospective, observational, and multicenter study. (3) Methods: A cohort of 189 patients beginning antitumor therapy were enrolled and prospectively monitored for VTE and mortality. Blood samples collected at enrollment were tested for D-dimer, fibrinogen, FVIII, prothrombin fragment 1 + 2 (F1 + 2), and thrombin generation (TG). Competing risk analyses were performed to identify significant predictors. (4) Results: Within one year, the cumulative incidences of VTE and mortality were 7.0% and 12%, respectively. Univariable analysis identified high Ki-67, D-dimer, FVIII, fibrinogen, and TG levels, along with low hemoglobin levels, as independent predictors of VTE. Only Ki-67, fibrinogen, FVIII, and hemoglobin were retained as significant predictors in multivariable analysis. These variables were further examined by multiple linear regression, which revealed Ki-67 and fibrinogen as the most significant parameters. A continuous RAM was then developed based on Ki-67 and fibrinogen (c-statistics 0.78), categorizing patients into low-risk and high-risk groups for VTE (2% vs. 13%; SHR 3.6,

Indexed as

D-dimerfibrinogenhemostatic biomarkershypercoagulabilityKi-67metastatic breast cancermortalityvenous thromboembolism

Identifiers

PMID40867341
PMCPMC12384613

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.